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Exam (elaborations)

I - OROFACIAL PAIN DIAGNOSIS, HISTORY AND EXAM

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I - OROFACIAL PAIN DIAGNOSIS, HISTORY AND EXAM

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I - OROFACIAL PAIN
DIAGNOSIS, HISTORY AND
EXAM

,1. How do you come 1. accurately *identify the source* from which the pain emanates
up with an *oro-
2. establish the *correct pain category* that is represented in the condition under
facial pain diag-
investigation
nosis*?
3. choose the particular *pain disorder that accounts for the incidence and behav-
ior of patient's pain problem*

2. Normally for a both the *history and clinical examination have an EQUALLY important role in
dental diagno- obtaining an orofacial pain diagnosis*
sis, the den-
tist spends MORE --> see IMAGE
time on the
clinical examina-
tion that tak-
ing patient histo-
ry. When gather-
ing information
for an orofacial
pain diagnosis,
how should the
history and clin-
ical examination
be weighted by
parts?

3. What is consid- *history taking*
ered to be the
- history taking helps to establish professional rapport with the patient
*most important
aspect when di-
--> see IMAGE for what is included in history taking
agnosing pain*?




, 4. During history - state precisely in the patients OWN words
taking, the pa-
- identify specific significant complaints
tient's chief com-
plaint is gath-
- investigate each complaint individually
ered. Discuss the
important as-
pects of a
patient's *chief
complaint*.

5. The *location of ask the patient:
the pain* is one
of the first things where is the pain felt?
observed after does the pain radiate to adjacent areas?
gathering a pa- has the site changed since the initial onset?
tient's chief com-
plaint. Elaborate
on the aspects of
a patient's pain
location.

6. Is it important to YES, this is critical! When the *location of the pain is ditterent than the source* it is
remember that called *heterotopic pain*
*the location of
pain might NOT
be the source of

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